Individual
MARIA TERESA DE LA MORENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, M/S: HB.B.501, SEATTLE, WA 98105
(206) 987-7450
(206) 985-3119
Mailing address
4800 SAND POINT WAY NE, M/S: HB.B.501, SEATTLE, WA 98105
(206) 987-7450
(206) 985-3119
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
M2598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060847302
—
TX
Enumeration date
03/16/2006
Last updated
01/09/2019
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